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Virginia rates for HCPCS 97157

Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guardians/caregivers, each 15 minutes

Facilitymedian $20 · 10th–90th $14–$410%20%10th90th$20Professionalmedian $19 · 10th–90th $15–$250%50%10th90th$19$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $20.42 / $29.51
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $56.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $33.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $25.12 / $83,176.38
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $25.12 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $33.11 / $89.13